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Medication Therapy Management (MTM) is a Medicare-designed program that helps make sure that your medications are working to maintain your health. This service is provided at no additional cost to qualified members and is not considered a Medicare Part D benefit.
If you take multiple medicines prescribed by more than one doctor, these medicines may, when combined:
As part of our MTM program, you may set up a one-on-one review of your medicines with a pharmacist. This review is called a Comprehensive Medication Review (CMR) and is offered at no extra cost to you. However, once enrolled in the program, you may be contacted about a Targeted Medication Review (TMR), if a pharmacist identifies a potential medication issue that needs attention after completing the CMR.
By participating in the program we want to help you get the best results from all of the medications you’re taking. When you talk to a pharmacist he or she can help you make sure your medications are working for you, find lower cost options (when possible), and answer any questions or concerns you have about your medications.
CarePlus determines eligibility monthly, by looking at your medication claims information. To qualify for the MTM program, you must meet all three of the following criteria:
Once you qualify, you remain in the program for the rest of the calendar year. You will have to re-qualify for the next calendar year.
Once eligible, you will receive a letter that invites you to call Member Services to schedule your medication review. The review will last approximately 25 minutes, and we will schedule it at your convenience.
You will receive a personal medication list and a summary of the medication review results (medication action plan). The medication list will help you keep track of the medications you take. The medication summary will offer you steps you can take to get the best results from your medications.
We include below a blank medication list you can print. Please use the form to keep track of all your prescriptions and over-the-counter (OTC) medications.
Printable Medication List
If you have questions, please call our Member Services number at 1-800-794-5907; TTY: 711. From October 1 - March 31, we are open 7 days a week; 8 a.m. to 8 p.m. From April 1 - September 30, we are open Monday - Friday, 8 a.m. to 8 p.m. You may always leave a voice mail message after-hours, Saturdays, Sundays, and holidays and we will return your call within 1 business day.